Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $361.67 / $1,715.74	Professional		$265.39	$361.67	$1,715.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $401.27	Professional		$292.93	$292.93	$401.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.27 / $1,152.67 / $1,503.39	Professional		$416.27	$1,152.67	$1,503.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.67 / $495.49 / $594.66	Facility		$361.67	$495.49	$594.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.16 / $558.99 / $624.40	Professional		$442.16	$558.99	$624.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.20 / $594.66 / $677.55	Facility		$535.20	$594.66	$677.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.67 / $510.74 / $624.40	Facility		$361.67	$510.74	$624.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $520.71 / $654.14	Professional		$292.93	$520.71	$654.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.44 / $988.90 / $2,086.28	Facility		$495.44	$988.90	$2,086.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $511.42 / $654.14 / $654.14	Professional		$511.42	$654.14	$654.14
United Facility/Professional Professional Modifier Low / Median / High Price $259.43 / $271.54 / $518.04	Professional		$259.43	$271.54	$518.04